Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.33 / $9,674.00 / $22,788.00	Facility		$980.33	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.90 / $980.33 / $5,083.97	Professional		$833.90	$980.33	$5,083.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.41 / $1,209.28 / $2,469.01	Professional		$949.41	$1,209.28	$2,469.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $665.05 / $960.52 / $2,258.32	Professional		$665.05	$960.52	$2,258.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.26 / $1,209.44 / $2,668.83	Professional		$867.26	$1,209.44	$2,668.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $927.92 / $1,388.23	Professional		$613.17	$927.92	$1,388.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.13 / $1,175.91 / $2,150.90	Professional		$901.13	$1,175.91	$2,150.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,855.52 / $9,048.00	Facility		$55.00	$8,855.52	$9,048.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,845.00 / $7,845.00 / $8,343.15	Professional		$7,845.00	$7,845.00	$8,343.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.73 / $1,211.54 / $1,884.00	Facility		$940.73	$1,211.54	$1,884.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $875.48 / $1,266.58 / $2,616.42	Professional		$875.48	$1,266.58	$2,616.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,154.50 / $3,154.50 / $3,154.50	Professional		$3,154.50	$3,154.50	$3,154.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $968.79 / $1,184.07	Professional		$613.17	$968.79	$1,184.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.23 / $1,052.65 / $2,380.39	Professional		$794.23	$1,052.65	$2,380.39